Stephen D Eadline MD

NPI 1053303453 - Pediatrics - 208000000X

NPI Details
NPI 1053303453
Gender Male
Enumeration Date 08/22/2005
Last Updated 07/10/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1729 BURRSTONE ROAD
NEW HARTFORD NY, 13413-0001, US
Phone (315) 798-1551
Fax (315) 798-1556
Business Location
1729 BURRSTONE ROAD
NEW HARTFORD NY, 13413-0001, US
Phone (315) 798-1551
Fax (315) 798-1556
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 170183
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According to our database, Dr. Stephen D Eadline MD NPI is 1053303453, taxonomy code is 208000000X and license number is 170183, license state is located at New York. Stephen D Eadline MD physically located at 1729 Burrstone Road, New Hartford NY, 13413-0001. NPI Number Stephen D Eadline MD has the Individual type.

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1053303453 NPI number is provided on an as is basis without warranty of any kind. 1053303453 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen D Eadline MD are for informational purposes only.